ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 of 5
A nurse is assessing the newborn of a client who took a selective serotonin reuptake inhibitor (SSRI) during pregnancy. Which of the following manifestations should the nurse identify as an indication of withdrawal from an SSRI?
Correct Answer: C, D
Rationale: The correct answer is C: Bradypnea and D: Vomiting. SSRI withdrawal in newborns can manifest as respiratory distress (bradypnea) and gastrointestinal symptoms such as vomiting. This is due to the sudden discontinuation of the medication after birth, leading to withdrawal symptoms.
Choices A and B are not typical manifestations of SSRI withdrawal. Large for gestational age and hyperglycemia are not directly associated with SSRI use.
Choices E, F, and G are not provided in the question.
Question 2 of 5
A nurse is assessing a newborn following a circumcision. Which of the following findings should the nurse identify as an indication that the newborn is experiencing pain?
Correct Answer: B
Rationale: The correct answer is B: Chin quivering. Chin quivering is a common sign of pain in newborns. It indicates discomfort and distress. Decreased heart rate (
A), pinpoint pupils (
C), and slowed respirations (
D) are not reliable indicators of pain in newborns. Heart rate may decrease as a response to pain, but it can also be affected by other factors. Pinpoint pupils are more indicative of drug use or neurological issues. Slowed respirations may be a sign of relaxation, not necessarily pain. Chin quivering, on the other hand, is a direct physical manifestation of pain and should be recognized by the nurse as a sign to address the newborn's discomfort.
Question 3 of 5
A nurse is caring for a client who is in active labor with a fetus in the occipitoposterior position. The nurse assists the client into a hands-and-knees position. Which of the following questions should the nurse ask to evaluate the effectiveness of this intervention?
Correct Answer: D
Rationale: The correct answer is D: "Has your back labor improved?" This question is relevant because the occipitoposterior position can cause intense back pain during labor. By asking if the back pain has improved, the nurse can assess the effectiveness of the hands-and-knees position in helping to alleviate this specific discomfort.
Choice A: "Does that lessen your suprapubic pain?" is incorrect because the hands-and-knees position is not specifically targeted at suprapubic pain.
Choice B: "Are you feeling relief from your pelvic pressure?" is incorrect because the hands-and-knees position is more effective for back pain relief rather than pelvic pressure.
Choice C: "Do your contractions feel further apart?" is incorrect because the position change may not directly affect the frequency of contractions.
In summary, the correct question (
D) focuses on the specific issue of back labor associated with occipitoposterior position, making it the most relevant evaluation of the intervention.
Question 4 of 5
A nurse is assessing a client who is 1 hr postpartum following a vaginal birth. The nurse notes that the client has excessive vaginal bleeding. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct action for the nurse to take first is to massage the client's fundus. This is because excessive vaginal bleeding postpartum could indicate uterine atony, where the uterus fails to contract effectively, leading to hemorrhage. Massaging the fundus helps stimulate uterine contractions, which can help control bleeding. Administering oxytocin (choice
B) can also help with uterine contractions, but massaging the fundus is the initial intervention. Emptying the client's bladder (choice
C) can alleviate pressure on the uterus but is not the priority in this situation. Providing oxygen (choice
D) is not directly related to managing postpartum bleeding.
Extract:
A nurse in a clinic is caring for a 16-year-old adolescent.
Provider Prescriptions
1300:
Standing prescriptions for clients who present with abdominal pain:
Obtain laboratory tests:
Urinalysis
Cervical culture
C-reactive protein
Beta hCG
Question 5 of 5
Which of the following findings should the nurse report to the provider? (Select all that apply.)
Correct Answer: A,B,D,E,F
Rationale: The correct findings to report to the provider are A, B, D, E, and F. A nurse should report abnormalities in abdominal assessment (
A) as it can indicate various health issues. Vaginal discharge (
B) can be a sign of infection or other conditions, warranting attention. Temperature (
D) is a vital sign that can indicate infection or illness. Dyspareunia (E) is a symptom of possible gynecological issues that require evaluation. Condom usage (F) is important for assessing safe sex practices and potential risk factors. Heart rate (
C) is a routine vital sign and not typically a finding that requires immediate reporting unless it is significantly abnormal.